Mr Sang Jo Kim, LAC - Acupuncturist in Victorville, CA

Mr Sang Jo Kim, LAC is a Acupuncturist based in Victorville, California. Mr Sang Jo Kim is licensed to practice in California (license number AC8143) and his current practice location is 12402 Industrial Blvd, Unit B2, Victorville, California. He can be reached at his office (for appointments etc.) via phone at (760) 428-2800.

NPI number for Mr Sang Jo Kim is 1902013741 and his current mailing address is 2150 Cheyenne Way, Unit 177, Fullerton, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902013741.

Contact Information

Mr Sang Jo Kim, LAC
12402 Industrial Blvd, Unit B2,
Victorville, CA 92395-5871
(760) 428-2800
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Sang Jo Kim
GenderMale
SpecialityAcupuncturist
Location12402 Industrial Blvd, Victorville, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902013741
  • Provider Enumeration Date: 05/17/2007
  • Last Update Date: 06/25/2019

Medical Identifiers

Medical identifiers for Mr Sang Jo Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902013741NPI-NPPES
AC0081430OtherCAMEDICAL
0600841MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
171100000XAcupuncturist AC8143 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Sang Jo Kim is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Sang Jo Kim, LAC
2150 Cheyenne Way, Unit 177,
Fullerton, CA 92833-4949

Ph: (760) 428-2800
Mr Sang Jo Kim, LAC
12402 Industrial Blvd, Unit B2,
Victorville, CA 92395-5871

Ph: (760) 428-2800

Reviews and Comments


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